Psychiatric Mental Health Nurse Practitioner / Physician Assistant – Post-Acute Behavioral Health

**Location:** Alabama **Position Type:** 1099 Independent Contractor **Compensation:** $140,000–$165,000\+ annualized earning potential, based on experience, patient volume, and productivity We are seeking an experienced **Psychiatric Mental Health Nurse Practitioner (PMHNP)** or **Physician Assistant with psychiatric experience** to provide psychiatric and behavioral health services to patients residing in skilled nursing facilities, rehabilitation centers, long\-term care facilities, and assisted living communities throughout Alabama. This is a **1099 independent contractor opportunity** for a behavioral health clinician who values professional autonomy, facility\-based psychiatric practice, geriatric psychiatry, medication management, and interdisciplinary collaboration. Our model focuses on delivering timely psychiatric services directly within post\-acute and long\-term care facilities while improving medication management, behavioral outcomes, regulatory compliance, and continuity of psychiatric care. Compensation **$140,000–$165,000\+ annualized earning potential** Compensation may vary based on: * Patient census * Facility volume * Psychiatric experience * Productivity * Geographic coverage * Number of assigned facilities This position is structured as a **1099 independent contractor,** with no health or retirement benefits. Responsibilities * Perform comprehensive psychiatric evaluations * Complete initial psychiatric assessments * Diagnose psychiatric and behavioral health conditions within applicable scope of practice * Develop individualized behavioral health treatment plans * Provide ongoing psychiatric medication management * Initiate, adjust, and monitor psychotropic medications as clinically appropriate * Monitor treatment effectiveness and medication side effects * Evaluate behavioral changes and psychiatric deterioration * Evaluate depression, anxiety, psychosis, mood disorders, behavioral disturbances, and other psychiatric conditions * Assist in management of dementia\-associated behavioral symptoms * Evaluate agitation, aggression, hallucinations, paranoia, insomnia, withdrawal, and significant mood changes * Perform suicide and safety risk assessments when clinically indicated * Review psychotropic medication utilization * Evaluate polypharmacy and potentially unnecessary psychotropic medications * Address consultant pharmacist recommendations * Evaluate and document Gradual Dose Reduction opportunities when clinically appropriate * Document clinical rationale when medication reduction is not appropriate * Collaborate with facility physicians, nurses, social workers, psychologists, therapists, pharmacists, and nursing leadership * Participate in interdisciplinary treatment planning * Provide psychiatric recommendations to facility teams * Educate clinical staff regarding behavioral health conditions and treatment approaches * Maintain timely, accurate, and regulatory\-compliant documentation * Assist facilities with appropriate psychotropic medication management * Help reduce behavioral health\-related emergency department visits and avoidable hospitalizations Common Conditions Managed Providers may evaluate and manage: * Major depressive disorder * Generalized anxiety disorder * Bipolar disorder * Schizophrenia and other psychotic disorders * Behavioral and psychological symptoms associated with dementia * Agitation * Aggressive behavior * Hallucinations * Paranoia * Insomnia * Adjustment disorders * Mood disorders * PTSD * Substance\-use\-related psychiatric conditions * Neurocognitive disorders * Behavioral changes following hospitalization or medical illness Qualifications **Nurse Practitioner Candidates** * Current Alabama APRN license or ability to obtain licensure * Psychiatric Mental Health Nurse Practitioner certification (PMHNP\-BC or equivalent recognized certification) * DEA registration or ability to obtain one when required * Appropriate prescriptive authority consistent with Alabama requirements **Physician Assistant Candidates** * Current Alabama PA license or ability to obtain licensure * Current national certification * Psychiatric or behavioral health experience strongly preferred * DEA registration or ability to obtain one when required * Ability to practice psychiatry within applicable Alabama physician collaboration, supervision, and scope\-of\-practice requirements Preferred Experience * Geriatric psychiatry * Skilled nursing * Long\-term care * Assisted living * Post\-acute care * Dementia care * Psychiatric medication management * Psychotropic medication reduction * CMS nursing\-facility regulatory requirements Contractor Practice Model This opportunity is structured as a 1099 independent contract. Providers will primarily perform weekday facility\-based psychiatric rounding. Facility assignments and patient census will vary depending on geographic coverage, clinical demand, and practice needs. The role is well suited for clinicians seeking greater professional autonomy and a facility\-based alternative to traditional outpatient psychiatric practice. **Apply Today** If you are a PMHNP or experienced psychiatric PA interested in geriatric psychiatry, long\-term care, post\-acute medicine, or facility\-based behavioral health, we would like to speak with you. Please submit your CV/resume through Indeed for consideration. Pay: $140,000\.00 \- $165,000\.00 per year Work Location: In person